Colorado Dental Affiliates, PLLC
Dentist, General Practice in Wheat Ridge, CO. Organization (NPI-2).
NPI number1740980002
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1740980002
- Entity type
- Organization (NPI-2)
- Legal business name
- Colorado Dental Affiliates, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Prosmile (Doing Business As)
Practice location
10135 W 38th AveWheat Ridge, CO 80033-4003
Phone 303-431-5830 · Fax 303-431-1324
Mailing address
10135 W 38th AveWheat Ridge, CO 80033-4003
Phone 303-431-5830 · Fax 303-431-1324
Authorized official
Anthony Naranja
Owner
3034315830
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